| Corisa Mccloud, CNP | |
|
1025 Lawnview Ave, Newark, OH 43055-2611 | |
| (740) 704-2349 | |
| (407) 042-3497 |
| Full Name | Corisa Mccloud |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1025 Lawnview Ave, Newark, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386290609 | NPI | - | NPPES |
| APRN.CNP.025435 | Other | OH | LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.025435 (Ohio) | Primary |
| 207Q00000X | Family Medicine | CNP.025435 (Ohio) | Secondary |
| Entity Name | Perry County Family Practice Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003088790 PECOS PAC ID: 3173505138 Enrollment ID: O20040603000341 |
| Mailing Address | Practice Location Address |
|---|---|
| Corisa Mccloud, CNP 1025 Lawnview Ave, Newark, OH 43055-2611 Ph: (740) 704-2349 | Corisa Mccloud, CNP 1025 Lawnview Ave, Newark, OH 43055-2611 Ph: (740) 704-2349 |
Joan Crumrine, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Licking Memorial Family Practice East, 399 E. Main St, Newark, OH 43055 Phone: 220-564-1846 Fax: 220-564-1847 | |
Anna Ruhl, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1320 W Main St, Newark, OH 43055 Phone: 220-564-4151 Fax: 220-564-7153 | |
Mrs. Sarah Elizabeth Karling, APRN, WHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15 Messimer Dr, Newark, OH 43055 Phone: 220-564-4677 | |
Andrea Sims, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1320 W Main St, Newark, OH 43055 Phone: 220-564-4000 | |
Diane Elaine Kintner, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 675 Price Rd Ne, Newark, OH 43055 Phone: 740-349-6535 Fax: 740-349-6510 | |
Ms. Amanda K Miller, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 68 W Church St Ste 203, Newark, OH 43055 Phone: 740-934-6474 Fax: 740-934-6473 | |
Catherine R Wohlford, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 399 E Main St, Newark, OH 43055 Phone: 220-564-1840 Fax: 220-564-1841 |